Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 5837 | SD |
NPI | 1083648075 |
---|---|
Provider Name | Amy K. Krie |
First Address | Minneapolis, MN 55440-0043 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 07/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2444613 | ARAZ/ AMERICA'S PPO (01) | SD |
250915 | MIDLANDS CHOICE (01) | SD |
2731976 | (05) | IA |
3600669 | MEDICA (01) | SD |
370624200 | DEPT OF LABOR (01) | SD |
407191047575 | PREFERRED ONE (01) | SD |
46022474336 | (05) | NE |
4993807 | BLUE CROSS (01) | SD |
57105V008 | WPS TRICARE (01) | SD |
5837 | DAKOTACARE (01) | SD |
642440600 | (05) | MN |
79G08KR | BLUE CROSS (01) | MN |
79G08KR | CC SYSTEMS/ BLUE PLUS (01) | MN |
92411422903 | PRIMEWEST (01) | MN |
HP69356 | HEALTHPARTNERS (01) | SD |
P00460965 | RR MEDICARE (01) | |
XPY205862 | (05) | CA |